论文部分内容阅读
目的比较腹腔镜子宫全切术前应用碘伏与苯扎溴铵进行阴道灌洗的消毒效果。方法回顾性分析2013年1月-2015年1月在某院成功施行全腹腔镜子宫全切术180例患者的临床资料及随访资料,根据术前阴道消毒情况选出对照组(500 mg/L碘伏阴道灌洗)90例和实验组(20 mg/L苯扎溴铵阴道灌洗)90例,比较术前两组宫颈和穹隆细菌培养,术后外周血象改变、体温升高、阴道残端愈合情况。结果实验组细菌培养的阴性率、术后体温升高率、外周血白细胞升高率、阴道残端愈合等指标均明显优于对照组(P<0.05)。结论术前选择20 mg/L苯扎溴铵阴道灌洗的消毒效果明显优于500 mg/L碘伏阴道灌洗阴道灌洗。
Objective To compare the disinfection efficacy of vaginal lavage with iodophor and benzalkonium bromide before laparoscopic hysterectomy. Methods The clinical data and follow-up data of 180 patients undergoing total laparoscopic hysterectomy in a hospital from January 2013 to January 2015 were retrospectively analyzed. According to the preoperative vaginal disinfection, the control group (500 mg / L 90 cases of iodophor vaginal lavage and 90 cases of experimental group (20 mg / L benzalkonium bromide vaginal lavage). The bacterial culture of cervix and dome were compared between the two groups before and after operation. The postoperative peripheral blood changes, body temperature increased, End healing. Results The negative rate of bacterial culture, the rate of postoperative fever, the rate of leukopenia and the healing of vaginal stump were significantly higher in experimental group than those in control group (P <0.05). Conclusion The disinfection efficacy of vaginal lavage of 20 mg / L benzalkonium bromide preoperatively is obviously better than vaginal lavage of vaginal lavage of 500 mg / L iodophor.